Individual provider Active NPI

Renee S Rambeau, O.D.

  • Optometrist
  • Troy, OH
National Provider Identifier
1093070401
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6155 Issued in OH
Practice address
1861 Towne Park Dr Ste a
Troy, OH 45373-2067
Phone
(937) 339-7956
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6155 OH Primary
Optometrist 152W00000X T3070 OH

Addresses

Primary practice location

1861 Towne Park Dr Ste a
Troy, OH 45373-2067

Mailing address

1861 Towne Park Dr Ste a
Troy, OH 45373-2067
Phone (937) 339-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T3070OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Koch, O.D., Inc. Optometrist PastSince Sep 1, 1995 Accepting new patients
Optometric Management Group LLC Optometrist Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Entyre Vision Care, Inc. Optometrist PastSince Jul 9, 2023 Accepting new patients
Dr. Tonya D. Lindsell and Associates, LLC Optometrist Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1093070401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 TOWNE PARK DR STE A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732067",
            "telephone_number": "937-339-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 TOWNE PARK DR STE A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732067",
            "telephone_number": "937-339-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBEAU",
        "first_name": "RENEE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6155",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T3070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.